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psnet.ahrq.gov/patient-safety-101
March 26, 2025 - Patient Safety 101: The Fundamentals
What is Patient Safety?
The breadth of the field of patient safety is captured in various definitions. It has been defined as avoiding harm to patients from care that is intended to help them. 1 It involves the prevention and mitigation of harm caused by err…
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pso.ahrq.gov/resources/psqia
August 01, 2022 - SHARE:
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Resources About the Patient Safety and Quality Improvement Act of 2005
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integrationacademy.ahrq.gov/products
June 01, 2022 - An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/unequal-treatment-confronting-racial-and-ethnic-disparities-health-care
June 15, 2011 - Book/Report
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care.
Citation Text:
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Smedley BD, Stith AY, Nelson AR, eds and Institute of Medicine. Washington, DC; The National Academies Pres…
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www.uspreventiveservicestaskforce.org/uspstf/behavioral-counseling-interventions-evidence-based-approach-figure-1
November 01, 2013 - Behavioral Counseling Interventions: An Evidence-based Approach - Figure 1
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Figure 1. Does Changing Individual Health Behavior Improve Health Outcomes?
Analytic Framework 1 …
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www.ahrq.gov/patient-safety/settings/ambulatory/index.html
June 01, 2025 - AHRQ's Quality & Patient Safety Programs by Setting: Ambulatory Care
Ambulatory Surgery Center (ASC) Survey on Patient Safety Culture is a staff-administered survey that helps ambulatory surgery centers assess how their staff perceive various aspects of safety culture. CAHPS ® Clinician & Group Survey was de…
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psnet.ahrq.gov/issue/former-pharmacist-indicted-manslaughter-after-med-error
October 17, 2018 - Newspaper/Magazine Article
Former pharmacist indicted for manslaughter after med error.
Citation Text:
Former pharmacist indicted for manslaughter after med error. Paul R. Drug Topics. September 17, 2007.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/sCkggReHbVWXtLoqWhEPrh
July 01, 2023 - Screening for iron deficiency anemia in young children literature surveillance report 2023
1
U.S. Preventive Services Task Force
Topic Development Background Document
Title: Screening for iron deficiency anemia in young children
Literature surveillance date: July 2023
Recommendation Summary: In 2015,…
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psnet.ahrq.gov/issue/she-was-headed-locked-psych-ward-then-er-doctor-made-startling-discovery
March 03, 2021 - Newspaper/Magazine Article
She was headed to a locked psych ward. Then an ER doctor made a startling discovery.
Citation Text:
She was headed to a locked psych ward. Then an ER doctor made a startling discovery. Boodman SG. Washington Post. February 12, 2022.
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www.ahrq.gov/talkingquality/distribute/promote/act-early/choose.html
July 01, 2011 - Choosing and Involving Partners in Promoting a Quality Report
In an increasing number of States and communities, reporting projects are being carried out through collaborative efforts across multiple organizations that reflect the diversity of stakeholders in health care.
If your reporting project is coll…
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psnet.ahrq.gov/issue/how-communications-issues-between-doctors-and-nurses-can-affect-your-health
September 28, 2016 - Newspaper/Magazine Article
How communications issues between doctors and nurses can affect your health.
Citation Text:
How communications issues between doctors and nurses can affect your health. Howley EK. US News & World Report. September 5, 2018.
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www.ahrq.gov/talkingquality/distribute/media/decide-medium.html
September 01, 2019 - How To Decide on a Medium for a Health Care Quality Report
How do you figure out which medium is right for your reporting project? If at all possible, try to base this decision on research with your audience. For example, you could ask them how they get information now and how they would like to get it. Then yo…
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www.ahrq.gov/talkingquality/assess/what-you-evaluate/process.html
November 01, 2018 - Evaluating the Process of Creating and Promoting a Quality Report
An evaluation of the process you went through to develop, release, and promote your report can help you identify which aspects worked well. Just as important, you can learn which ones did not work as well and what could or should be done differen…
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www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/RESPOM1aDivisionofResp.html
March 01, 2016 - Responsibilities of Sponsors, Vendors, and Consultants
Activity
Role of sponsor
Role of vendor(s)
Role of consultant
Planning and project design
Designate a project director.
Define the project goals.
Issue the request for proposal (RFP) and select a vendor.
Dev…
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www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool6b1.html
April 01, 2018 - Tracking and Improving Screening for Colorectal Cancer Intervention
6.b-1 Feedback Form for CDE
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Table of Contents
Tracking and Improving Screening for Colorectal Cancer Intervention
I. Introduction
II. Background
III. Intervention Steps and Tools
IV. References
1.a-…
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psnet.ahrq.gov/issue/drug-shortages-threaten-patient-safety
May 07, 2018 - Newspaper/Magazine Article
Drug shortages threaten patient safety.
Citation Text:
Drug shortages threaten patient safety. ISMP Medication Safety Alert! Acute Care Edition. July 29, 2010;15:1-4.
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psnet.ahrq.gov/issue/jcahos-national-patient-safety-goals-2006
December 17, 2008 - Commentary
JCAHO's National Patient Safety Goals 2006.
Citation Text:
Catalano K. JCAHO'S National Patient Safety Goals 2006. J Perianesth Nurs. 2006;21(1):6-11.
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www.ahrq.gov/research/findings/final-reports/ptmgmt/methodology.html
July 01, 2018 - Patient Self-Management Support Programs: An Evaluation
Methodology
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Table of Contents
Patient Self-Management Support Programs: An Evaluation
Acknowledgments
Introduction and Purpose
Summary
Background
Methodology
Design Options for a Self-Management Support Progr…
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psnet.ahrq.gov/issue/mislabeling-event-batched-drugs-unintended-consequences-practice-changes
May 07, 2014 - Newspaper/Magazine Article
A mislabeling event with batched drugs: the unintended consequences of practice changes.
Citation Text:
A mislabeling event with batched drugs: the unintended consequences of practice changes. ISMP Medication Safety Alert! Acute Care Edition. 2014;19:1-3.&nbs…
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hcup-us.ahrq.gov/reports/database_rpts.jsp
April 01, 2022 - Database Reports
An official website of the Department of Health & Human Services
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